The use of the start back screening tool for predicting clinical outcomes of patients with nonspecific low back pain when administered at multiple time points

• Grant number: 16/18575-8
• Support Opportunities: Scholarships in Brazil - Doctorate (Direct)
• Start date: March 01, 2017
• End date: February 28, 2019
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Luciola da Cunha Menezes Costa
• Grantee: Flávia Cordeiro de Medeiros
• Host Institution: Pró-Reitoria de Pós-Graduação, Pesquisa e Extensão. Universidade Cidade de São Paulo (UNICID). São Paulo , SP, Brazil

Abstract

Background: Low back pain is an important public health problem and highly prevalent worldwide. The prognosis of low back pain is related to the time duration of the symptoms, but also may be influenced by other intrinsic or extrinsic characteristics of the patients. The instrument STarT (Subgroups Target Treatment) Back Screening Tool (SBST) was developed to screen and stratify patients with low back pain into three subgroups, low, medium or high risk of having a poor prognosis. However, this classification at baseline does not take into account variables that can influence the prognosis during treatment or over time. Objective: To investigate the changes in the risk subgroup measured by the SBST over a period of 6 months and to assess the long-term predictive ability of the SBST when applied at different time points in patients with acute low back pain in patients who seek emergency treatment. Design: Two hundred patients with acute low back pain will be included in this study. Clinical outcomes of pain intensity and disability as well as SBST will be collected at baseline, 6 weeks, 3 and 6 months. Descriptive analyzes will be performed to describe the changes in the subgroups of SBST. Hierarchical linear regression models will be built to analyze the predictive ability of SBST when applied to different assessments. These models will be adjusted for potential confounders (age, gender and the outcome in the initial assessment). Expected results: This study expected to identify whether the changes that occur in SBST subgroups influence the predictive ability of the instrument, as well to identify what would be the best time for applying of SBST to predict pain intensity and disability at long-term. These results may provide new and important information, since the predictive ability of SBST has never been investigated in patients with acute low back pain who seek for emergency care. (AU)

Scientific publications

(6)

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

MEDEIROS, FLAVIA CORDEIRO; SALOMAO, EVELYN CASSIA; PENA COSTA, LEONARDO OLIVEIRA; DE FREITAS, DIEGO GALACE; FUKUDA, THIAGO YUKIO; MONTEIRO, RENAN LIMA; NEMITALLA ADDED, MARCO AURELIO; GARCIA, ALESSANDRA NARCISO; MENEZES COSTA, LUCIOLA DA CUNHA. Use of the STarT Back Screening Tool in patients with chronic low back pain receiving physical therapy interventions. BRAZILIAN JOURNAL OF PHYSICAL THERAPY, v. 25, n. 3, p. 286-295, MAY-JUN 2021. (13/02075-8, 16/18575-8)

MEDEIROS, FLAVIA CORDEIRO; MENEZES COSTA, LUCIOLA DA CUNHA; PENA COSTA, LEONARDO OLIVEIRA; OLIVEIRA, INDIARA SOARES; DA SILVA, TATIANE. Recurrence of an Episode of Low Back Pain: An Inception Cohort Study in Emergency Departments. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, v. 52, n. 7, p. 9-pg., 2022-07-01. (16/18575-8, 18/20035-7)

MEDEIROS, FLAVIA CORDEIRO; PENA COSTA, LEONARDO OLIVEIRA; OLIVEIRA, INDIARA SOARES; MENEZES COSTA, LUCIOLA DA CUNHA. A Responsiveness Analysis of the Subgroups for Targeted Treatment (STarT) Back Screening Tool in Patients With Nonspecific Low Back Pain. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, v. 49, n. 10, p. 725+, OCT 2019. (16/18575-8, 13/02075-8)

MEDEIROS, FLAVIA CORDEIRO; PENA COSTA, LEONARDO OLIVEIRA; OLIVEIRA, INDIARA SOARES; OSHIMA, RENAN KENDY; MENEZES COSTA, LUCIOLA CUNHA. The use of STarT BACK Screening Tool in emergency departments for patients with acute low back pain: a prospective inception cohort study. EUROPEAN SPINE JOURNAL, v. 27, n. 11, p. 2823-2830, NOV 2018. (15/22451-0, 16/18575-8)

OLIVEIRA, INDIARA SOARES; TOMAZONI, SHAIANE SILVA; VANIN, ADRIANE AVER; ARAUJO, AMANDA COSTA; DE MEDEIROS, FLAVIA CORDEIRO; ANANIAS OSHIMA, RENAN KENDY; PENA COSTA, LEONARDO OLIVEIRA; MENEZES COSTA, LUCIOLA DA CUNHA. Management of acute low back pain in emergency departments in Sao Paulo, Brazil: a descriptive, cross-sectional analysis of baseline data from a prospective cohort study. BMJ OPEN, v. 12, n. 4, p. 7-pg., 2022-04-01. (16/18575-8, 18/09544-7)

OLIVEIRA, INDIARA SOARES; DA SILVA, TATIANE; PENA COSTA, LEONARDO OLIVEIRA; MEDEIROS, FLAVIA CORDEIRO; ANANIAS OSHIMA, RENAN KENDY; DE FREITAS, DIEGO GALACE; FUKUDA, THIAGO YUKIO; MENEZES COSTA, LUCIOLA DA CUNHA. The Long-Term Prognosis in People With Recent Onset Low Back Pain From Emergency Departments: An Inception Cohort Study. JOURNAL OF PAIN, v. 22, n. 11, p. 1497-1505, NOV 2021. (15/22451-0, 16/18575-8, 18/20035-7)